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for assistance. For reliable, current information on this and other health topics, we recommend consulting the NIH Clinical Center at http://www.cc.nih.gov/
CC Director given top honors by PHS
CC Director Dr. John Gallin has been named the 2001 Physician Executive of the
Year by the Physicians Professional Advisory Committee of the U.S. Public Health
The award was presented to Dr. Gallin by U.S. Surgeon General Dr. David Satcher
during the annual meeting of the Commissioned Officer's Association.
The award recognizes a physician executive who plays a key role in the successful
administration of a PHS program. The recipient makes exceptional contributions
to the accomplishments and goals of the PHS while serving as a manager. He makes
choices that maximize the use of available resources and enhances the goodwill
between the U.S. government and the public.
"It is a great honor to receive such a special award," said Gallin.
Clinical Center gets OK to hire under Title 42
The CC has been given the go-ahead to hire nurses and allied health
professionals under Title 42, an alternative personnel system designed to be
more flexible and streamlined for both employees and management.
It will be a few more months before current employees will be
eligible to convert to Title 42 from the Title 5 [GS schedule]. Current employees
will have the option of staying in the GS schedule or converting to the new
system. Current CC employees that have recently been offered a position under
the GS schedule will remain in the GS schedule. All new job offers will be made
under Title 42.
Title 42 for Clinical Research Support is an employment system
for CC employees engaged in direct or indirect clinical patient-care service.
The system is centered around pay bands that use competency and not longevity
to determine the amount of individual pay increases or supplemental pay (awards,
bonuses) given to employees.
Depending upon the position, each job will fall into one of three
pay bands. Band I represents a developmental continuum from the entry level
through the full operating level. Band II represents an expert or specialist
level that requires highly developed or specialized knowledge of an occupation.
Band III represents a managerial, senior specialist or executive level. Pay
band ranges were established to be in alignment with similar positions in the
private sector and other federal agencies. For more information on Title 42,
visit the Office of Human Resources Management website at http://ohrm.cc.nih.gov.
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Cipolone awarded by UMBC program
This year's graduating class from the University of Maryland Baltimore County,
Department of Medical and Research Technology, selected Karen Cipolone as the
Outstanding Clinical Instructor for the 2000-2001 academic year.
Cipolone is the education coordinator for the Department of Transfusion Medicine,
where she teaches students as part of their rotation in the Medical Technology
program at UMBC. "This award is not just for me, but the entire department,"
said Cipolone. "It feels great when students recognize the time and effort
we put into making this rotation a great learning experience."
Cipolone was selected by the 26 students for her excellence in clinical instruction,
accurate knowledge of subject matter, ability to stimulate interest, awareness
of student's needs and her positive, professional image. She has been a clinical
instructor with the UMBC program since 1995, when NIH became an affiliate. NIH
is now one of 26 affiliates associated with the program. "NIH is a great
place for teaching, and the staff is excellent in training students," said
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of Worklife & Diversity Council
Last month, the CC QWI/Diversity Council focused on the many NIH resources
available to help employees manage personal stress that may be resulting
from home or from work pressures and/or conflict. Some of the resources
listed previously included the NIH Employee Assistance Program and the NIH
Center for Cooperative Resolution. Each resource employs trained consultants
providing confidential counseling services to employees.
This month, the council wishes to share tips on ways supervisors, leaders
and/or team members can effectively manage team conflict that can result
in on-the-job stress. To handle conflict among your team members:
- Ask those who disagree to paraphrase one another's comments. This may
help them learn if they really understand one another.
- Work out a compromise. Agree on the underlying source of conflict, then
engage in a give-and-take and finally agree on a solution.
- Ask each member to list what the other side should do. Exchange lists,
select a compromise that all are willing to accept, and test the compromise
to see if it meshes with team goals.
- Have the sides each write 10 questions for their opponents. This will
allow them to signal their major concerns about the other side's position.
And the answers may lead to a compromise.
- Convince team members they sometimes may have to admit they're wrong.
Help them save face by convincing them that changing a position may well
- Respect the experts on the team. Give their opinions more weight when
the conflict involves their expertise, but don't rule out conflicting opinions.
Source: Making Teams Succeed at Work, Alexander Hamilton Institute, reprinted
from Communication Briefings - Ideas that Work, Vol. XVIII, No. IV.
More QWI News: The council has reported the continuing problems
with access to stamps to our ORS contacts. The Bldg. 10 concession stand
in the basement is now carrying stamps as an added convenience to employees.
Stamps are also available in the R&W store and the stamp machines. If stamp
machines malfunction, call the R&W concession stand cashiers at 6-3087.
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Nurses pave the way for research
Imagine if you will...one tiny, miniscule ant trying desperately to fight a
huge army. Now take that heroic, smart, clever ant and somehow exponentially
grow it and put it back on the battlegrounds, this time with a whole battalion,
furiously ready to fight once again.
Although it sounds like one of the newest video games to hit the market, this
is actually a simplification of an innovative cancer treatment, one that is
skillfully supported by nurses on the 2 East Surgical Immunotherapy Unit.
Isatu Bah (left),
clinical nurse on the 2 East Surgical Immunotherapy Unit, works closely
with Tye Mullikin (right) as they prepare to administer chemotherapy to
a Clinical Center patient. Bah completed a training program at the Clinical
Center two years ago and recently joined the nursing staff on the unit.
The procedure, called tumor infiltrating lymphocytes, or TIL, involves a surgical
procedure where a tumor is removed from the body, chopped up and scoured for
cells that are attempting to fight the tumor.
"Just like that one ant that was trying to fight an army, we take the
immune cells in the growing cancer that were trying to fight the tumor and grow
them in the lab," said Tye Mullikin, clinical nurse on the unit. "Once
we reintroduce them into the patient's body, they will immediately return to
the tumor, still fighting, but this time much stronger."
Simplicity, even in the way that treatments are explained, is the key on the
unit, which houses adult cancer patients mainly dealing with melanoma, kidney
cancer, lung cancer, colon cancer and sarcoma. Since 60 percent of the patients
on the unit have melanoma (the fastest rising cancer in the U.S.), the nurses
are specially trained to deal with the disease and more specifically, the treatments
and their side effects. Another state-of-the-art treatment on the unit involves
administering an experimental vaccine that targets tumors. Once the patient
is immunized, a conventional cancer treatment called IL-2 is given. IL-2, which
is FDA-approved for melanoma patients, mediates the growth of lymphocytes, which
are one type of white blood cell. It's the unique environment of the NIH that
weds conventional treatments and experimental treatments to help combat diseases,
which is just the reason that many patients come here.
"IL-2 is available in my hometown, but one of the many reasons that I
chose to come here is that back home the hospitals may do IL-2 treatments about
once a week, but here they do between three and ten a day," said a Columbus,
Ohio, melanoma patient. "My belief is that experience means a lot in whatever
you are doing, and that is clear because the nurses here are very specialized
and extremely experienced."
Training, as with all nursing units here, is an integral part of the 2 East
Surgical Immunotherapy Unit. "Our scope is crossing over between medical
and surgical oncology and the variances in our protocols are very wide, so there
is a lot of information that our staff needs to know," said Paula Muehlbauer,
clinical nurse specialist on the unit. "Many of the protocols that we support
have lots of new ideas, and since we have seen an increase in the last few years
in the number of protocols, the protocol managers and high-caliber nursing staff
have done an excellent job getting up and running and getting the information
to the patients."
(left) and Azam Nahri (middle), both with NCI, along with Tye Mullikin,
clinical nurse on the unit, work in the lab that performs all of the techniques
for the state-of-the-art therapies that take place on the 2 East Surgical
One specialized training that helps support nurses, the Cancer Nurse Internship
Program, brings nurses from across the country to the CC for an intensive 6-month
session. Initiated in 1985, this program uses classroom and bedside teaching
to train nurses in the intricacies of the field of oncology.
"Some of the treatments that we administer, such as the IL-2 protocol,
are very nurse-dependent and our nurses are able to manage side effects and
get our patients through the protocols because they know what to do and when
to do it," said Mullikin. "This program provides specialized training
to a cadre of nurses, many of whom stay on after completing the program."
Those who do not, according to Mullikin are better prepared for the field,
no matter which organization they end up in. Mullikin, herself a graduate of
the first class of the Cancer Nurse Internship Program, extends her abilities
outside the NIH walls by training nurses from other hospitals on how to administer
IL-2. Supporting the training of community nurses, furthers the NIHÕs ability
to conduct extramural research. "When we learn to be experts on something,
we should train others on it," said Mullikin. "IL-2 is something that
many people on the outside are afraid to give and its use is not real prominent,
but if they come here and train, they might not be as intimidated by the drug."
"Masters-prepared nurses at the bedside add yet another element to the
care that we can give here," said Mullikin, who herself has a master's
in nurse education and is a strong proponent of nurses pursuing advanced degrees.
"Their knowledge and skills are passed on to less experienced nurses right
there at the bedside, during regular and off-hours, including weekends."
(left) and Amy Knopf (right) are just a few of the high-caliber nurses on
the 2 East Surgical Immunotherapy Unit. Knopf, a graduate of Western Kentucky
University, completed the Cancer Nurse Internship program and was so impressed
with the program that she joined the staff.
The unit also takes a team approach to primary nursing, which according to
staff members has made a world of difference. "Here at NIH we have time
to understand why we are doing what we are doing, and often at community hospitals
some nurses become task-oriented because of time constraints," said Mullikin.
"As a result, the nurses here are an integral part of the research protocols,
and are treated as such."
According to Crystal Cook, a clinical nurse on the unit who travels to the
CC from West Virginia, it was that valued role of nurses that made her decide
to come here after serving as a temporary nurse at an area facility. "Here
nurses are treated as peers rather than subordinates," said Cook. "They
treat you like you have input and your opinion is relevant, and it's viewed
as something that can make or break a protocol."
But it's not just fellow nurses that see the collaboration and team approach,
the patients see it also. "The nurses on this unit are great with patients
and they really show concern," said a lung cancer patient, undergoing her
third surgery here. "I've found that nurses here work together really well
and are not afraid to ask questions or ask for help if they need it."
In fact, according to Mullikin, by asking questions the patients as well as
the organization benefit. "There is no such thing as a dumb question,"
said Mullikin. "By asking questions, nurses help to improve our standards
of practice. Their question could relate to something that we have taken for
granted for years, as a result we will be able to work toward improving our
policies or practices."
So as new and innovative cancer treatments are developed daily, so too is the
knowledge-base of the nurses on the 2 East Surgical Immunotherapy Unit. Viewed
as experts in their field, the nurses support themselves, each other, and the
patients who come from across the world in a valiant effort to advance the knowledge
"The protocols we undertake often involve treatments never done before
and the nurses here always meet this challenge with flexibility, innovation
and enthusiasm and often make suggestions and changes that greatly improve our
experimental efforts," said Dr. Steven Rosenberg, chief of the NCI Surgery
Branch. "The nurses on 2E and 2J [Surgical Intensive Care Unit] are the
best patient-care nurses I have ever worked with. They really make a difference!"
-by LaTonya Kittles
Asian/Pacific American Heritage Program
brings "Unity in Diversity" through dance
| The 29th Annual Asian/Pacific American Heritage
Program intertwined a myriad of cultural dances that showed the vast diversity
and artistic talent of the Cambodian, Chinese, Philippine and Indian cultures.
(left) Internationally known dancer Veronique Tran performs a Balinese dance
entitled Chandra Wangi. Translated, Chandra Wangi means perfume of the moon,
and is a welcome dance to acknowledge the gods and the audience. (right)
Members of the CKS Dance Academy perform the Chi dance, a traditional Chinese
dance. The size and complexity of the women's headpieces and shoes require
them to learn how to move around and still remain graceful.
|(left) The Pilipino American Cultural Arts
Society performs Asik/Singkil, which takes its name from the bracelets worn
around the dancer's ankles. According to legend, a princess was walking
in the forest with her ladies-in-waiting when an earthquake jolted the surroundings.
The dance simulates the dangers as the princess and her ladies-in-waiting
weave in and out of the criss-crossed bamboo poles, which are clapped vigorously
to represent the surging ground. (right) The Konark Dance School
performs an Indian dance entitled "The Dance of the Enchantress,"
choreographed by Jayantee Paine-Ganguly.|
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Iron man makes time for kids
Internationally known bodybuilder and seven time Mr. Olympia finalist, Kevin LeVrone, dropped
by the CC to visit with fans. LeVrone, a native of Maryland, has won many
of the European Grand Prix championships, competed in the Arnold Classic
and placed second in the Mr. Olympia competition last year. When he's not
training, LeVrone dedicates much of his time to visiting children in hospitals
around Maryland. Pictured (l to r) Kevin LeVrone, Tony Grayson, Sean Hickey
and Marcus Rhodes.
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You are invited to attend the Thyroid Cancer Support Group for survivors,
families and friends, every second and fourth Tuesday of each month from 7
p.m. to 8:30 p.m. Meetings are held in the Social Work Conference Room 1N248,
Bldg. 10. For more information contact Margaret Sarris at 301-496-6020.
NIH (ClinPRAT) training program
This three-year postdoctoral research fellowship training program is sponsored
by the Clinical Center, the National Institute of General Medical Sciences,
and the NIH Office of Intramural Research, Office of the Director. This program
emphasizes the application of laboratory pharmacology, biostatistics, pharmacokinetics
and chemistry to the study of drug action in humans. Postdoctoral training
will be available starting July 1, 2002, and in subsequent years. Candidates
must have a M.D. degree and, in general, have completed three years of residency
training and be board eligible in a primary medical specialty. Candidates
must be U.S. citizens or permanent residents of the United States. CandidatesÕ
qualifications are evaluated by the Clinical Pharmacology Steering Committee.
Selection is highly competitive and preference will be given to applicants
with outstanding potential. The stipend is determined by the candidateÕs educational
and professional experience. For additional information visit our website
at http://www.cc.nih.gov/OD/clinprat/ or call Donna L. Shields at 301-435-6618.
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Researchers studying infantile neuronal ceroid lipofuscinosis are enrolling
patients in a study. For more information, call 1-800-411-1222 (TTY: 1-866-411-1010).
The NIH seeks adults and children age 5 or older who stutter or have family
speech disorders for an experimental study of the causes of these disorders.
Researchers offer speech, voice and language testing. There are no study-related
costs to participants. Compensation provided. For information, call 1-800-411-1222
The Clinical Brain Disorders Branch of the National Institute of Mental
Health is conducting a six-month inpatient research study. The program is
free of charge and involves extensive diagnostic evaluations, medication-free
studies, neuroimaging and cognitive and neurological testing. Participants
must be between the ages of 18 and 65, be diagnosed with schizophrenia or
schizoaffective disorder, and be free of significant medical/neurological
illnesses and active substance abuse. For more information or to volunteer,
contact E. Anne Riley, Ph.D. at 301-594-0874 or call toll-free at 1-888-674-NIMH
(6464) or e-mail: firstname.lastname@example.org or website: http://cbdb.nimh.nih.gov/inpatient.
NIDCR is seeking healthy volunteers, age 40-60, to participate in a research
study comparing absorption of drug levels to aid in treatment of oral ulcers.
You may be eligible if you are not taking any prescribed or over-the-counter
drugs, except birth control, do not have oral ulcers or a chronic illness,
and are not participating in any other research study at the same time.Participation
involves three outpatient visits. Compensation is provided. For more information
or to volunteer, call 1-888-606-0220.
The National Institute of Child Health and Human Development is seeking women,
ages 18-42, to participate in a study comparing bone density in healthy women.
You may be eligible to participate if you have no medical conditions and a
regular menstrual cycle, not pregnant, nursing or planning pregnancy over
the next three years; do not use oral contraceptives or prescribed medications;
smoke less than two cigarettes per day; and drink less than two alcoholic
drinks per day. Participation involves four visits over a three-year period,
blood test, bone density test, urine test and cognitive testing. Compensation
is provided. For more information call 301-435-7926 or 301-594-3839.
Sickle cell study
Individuals with sickle cell disease are asked to participate in a six-hour
bood study during which nitric oxide, a substance produced naturally by the
body, will be given. Researchers believe that nitric oxide may improve the
flow of blood, which may reduce complications and improve the overall health
of people with sickle cell disease. Volunteers will receive a free heart exam
as part of the study and will have their progress followed for two years.
If you are between the ages of 18 and 65 and have sickle cell disease, you
may be able to take part in this study. Call 1-800-411-1222 (TTY: 1-866-411-1010).
The NIH Pain Research Clinic is conducting research studies to improve the
treatment of chronic back and leg pain. The clinic is interested in pain resulting
from a pinched lumbar nerve caused by conditions such as a herniated disc,
a bone spur or arthritis. You may be able to take part if you are age 18 or
older and if you have had pain in your back and leg or buttock for the last
3 months. Call 1-800-411-1222 (TTY 1-866-411-1010).
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Editor: Tanya Brown
writers: Latonya Kittles
Center News, 6100 Executive Blvd., Suite 3C01, MSC 7511, National Institutes
of Health, Bethesda, MD 20892-7511. Tel: 301-496-2563. Fax: 301-402-2984.
Published monthly for CC employees by the Office of Clinical Center
Communications, Colleen Henrichsen, chief. News, article ideas, calendar
events, letters, and photographs are welcome. Deadline for submissions
is the second Monday of each month.
The information on this page is archived and provided for reference purposes only.